Environmental Barriers and Mobility in Taiwan: Is the Roy Adaptation Model Applicable?

Author:

Shyu Yea-Ing Lotus1,Liang Jersey2,Lu Jui-fen Rachel3,Wu Chi-Chuan4

Affiliation:

1. Graduate Institute of Nursing, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan

2. Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan

3. Center for Health Industry Management & Public Policy, Department of Health Care Management, Chang Gung University, Kwei-Shan, Tao-Yuan, Taiwan

4. Department of Orthopedics, Chang Gung Memorial Hospital, Kwei-Shan, Tao-Yuan, Taiwan

Abstract

This study tested Roy’s adaptation model by exploring the relationship between environmental stimuli, specifically barriers, and the mobility, and instrumental behaviors of hip-fractured elderly persons after surgery in Taiwan. A prospective study was conducted 3 months after hospital discharge with 87 elderly persons with hip fracture who had received surgery at a medical center in northern Taiwan. After controlling for prefracture conditions, subjective environmental barriers significantly diminished the walking ability, self-care ability, and role performance of hipfractured elderly persons. The findings of this study lend to suggestions for intervening with hip-fractured elderly persons after surgery.

Publisher

SAGE Publications

Subject

General Nursing

Reference18 articles.

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3. RELOCATION OF THE AGED AND DISABLED: A MORTALITY STUDY*

4. Chiu, H. C., Mau, L. W., Hsu, Y. C. & Chang, J. K. (2001). Postoperative 6-month and 1-year evaluation of healthrelated quality of life in total hip replacement patients . Journal of the Formosan Medical Association, 100, 461-465 .

5. Testing Hypotheses Derived from the Roy Adaptation Model

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